| NPI | 1598055519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202210227) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03383500) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |